POCUS for Abscess – A Large Meta-Analysis
Spoon Feed
Point-of-care ultrasound (POCUS) was accurate in distinguishing cellulitis from abscess.
July 2020
Does Antibiotic Under 1 Hour Impact Mortality?
Spoon Feed
There does not appear to be a mortality benefit to antibiotic administration <1 hour vs < 3 hours for patients with severe infection.
Does Delayed Antibiotic for Severe Infection Impact Mortality?
Spoon Feed
Timely appropriate antibiotic therapy was associated with lower mortality.
Point | Counterpoint – Dog Bites Need Antibiotics
Spoon Feed
The preponderance of limited evidence supports antibiotic use for dog bites, and the benefit outweighs the risk.
Point | Counterpoint – Dog Bites Do Not Need Antibiotics
Spoon Feed
Treating dog bites with antibiotics to prevent infection may not be beneficial and may result in antibiotic related side effects and promote resistance.
Outcome of Pediatric Bradycardia- Poor Perfusion vs PEA
Spoon Feed
Bradycardia with poor perfusion is associated with better survival with favorable neurologic outcome than pulseless cardiac arrest in critically ill children receiving CPR.
Geriatric Rib Fractures – Spirometry or Pain Control for Dispo?
Spoon Feed
Bedside spirometry measurements, specifically the FEV1, can help predict outcomes for geriatric patients with isolated rib fractures and may be used to make decisions about admission and discharge. Pain control did not correlate with pulmonary function or predict discharge home.
Scaphoid Fractures – Spoon-Feed Version
Spoon Feed
Scaphoid fractures are the most common carpal bone injury, yet they are still commonly missed. Maintain a high clinical suspicion for scaphoid injury even with negative radiographs.
Maybe Ondansetron Rx Does Reduce Bouncebacks in Kids
Spoon Feed
In this retrospective study, an ondansetron prescription was associated with decreased 72-hour return visit rates for children with vomiting or acute gastroenteritis and did not appear to mask any alternative diagnosis.
Is Norepinephrine Hurting Immune Response to Sepsis?
Spoon Feed
Norepinephrine appears to cause a dose-dependent dysregulation of the host immune response. This leads to attenuation of pro-inflammatory mediators and reactive oxygen species and augmentation of anti-inflammatory mediators which may inhibit the host’s ability to fight off infection.